SUMANTH REDDY ROLLNO 112

 

A 38yr old male resident of West Bengal , civil engineer by occupation came to the OPD with chief complaints of abdominal pain since 5 years HOPI :- Patient was apparently asymptomatic 5 years back then developed pain abdomen which is sudden in onset , gradual in progression , dragging type radiating to back which aggravates on intake of food, alcohol and relieved on medication.  From last 5 years he has episodes of abdominal pain occurring once in 3 months later from last 6 months pain occurs more frequently/daily? For the past 1 year patient has episodes of vomiting followed by pain in abdomen at least once in 2 months which is non bilious and water as content associated with weakness and giddiness On13th November he had multiple episodes of vomiting after lunch, initially vomiting containing food particles (yellowish)  later watery associated with weakness and giddiness and not relieved on medication. On 23rd November he had similar episode of pain and took medication He al...

47 M came with chief complaints   -Fever since 2 days  -vomiting since 2 days -pain in  abdomen since  2 days  -Burning micturition since 2 days HOPI: patient was apparently asymptomatic 2 days ago, then he developed fever which is ,intermitent, associated with chills and rigor,relieved on medication, - vomiting from 2 days, food as content,non -projectile,3 episodes / day -pain in  abdomen from 2 days, pricking type,non radiating,in right hypochondrium - burning micturition from 2 days -uprolling of eyes,stiffness of both upper limbs yesterday  PAST HISTORY: K/C/O epilepsy 15 years ago, 3 episodes  N/k/C/O Diabetes mellitus,asthma,tb H/O fracture of left lower limb 15 years ago and operated  PRESENT HISTORY: Appetite -Nornal Diet-Mixed Sleep-Adequate Bladder habits-regular Bowel habits-regular Addiction:used to binge alcohol 15 years ago ,then after drinks occasionally GENERAL EXAMINATION: patient is conscious, coherent, co-operative,we...